this post was submitted on 22 May 2025
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It really depends on how good your psychiatrist is. If they have a lot of knowledge on how the meds work and know the chemistry of why the dexamphetamines aren’t for you, they can absolutely steer you to a better solution. You should mention that vyvanse was a bad experience when you see your provider and give details of why. Good luck!
I haven't tried any others but whenever I'm on it shit definitely works. However after a few months it stops working and the impact to my sleep and general anxiety makes me want to go off it again.
I'm personally on a combination of Adderall and Adderall XR and have had the exact same problem (except the insomnia, which I've always had). For me it's about every 5 or 6 months, unless I skip it on the weekends then it's about every 10 months.
What I do to counteract it is take occasional two week breaks from my meds, just whenever my workload becomes less critical or the side effects get unbearable. I've been doing that for about 18 years now, and it works for me.
Any concerns about long term side effects, esp cardiovascular?
None that have come up in that time. I'm in my mid 40s now.
It is very, very likely that there is a better option for you. Just to name one: You could get methylphenidate (or even Vyvanse again) and use it only as needed. A lot can get done in 10 or 20 "power-days" per year, even when you just drag along for the rest of it.
Yeah I am leaning towards that.